Explaining physicians’ acceptance of EHCR systems: An extension of TAM with trust and risk factors

This paper explains physicians’ acceptance, in terms of usage intentions, of a central component of health information technology: electronic health care records (EHCR systems). For this purpose, the original version of the Technology Acceptance Model (TAM), which included perceived usefulness, perceived ease of use, attitude towards usage, and usage intentions, is extended with trust and risk-related factors such as physicians’ perceptions of institutional trust, perceived risk, and information integrity. The results stress the special importance of attitudinal factors (attitude towards usage and perceived institutional trust) and cognitive instrumental processes (mainly, usefulness perceptions) in determining physicians’ intention to use EHCR systems. Perceptions of institutional trust exerted strong direct effects on physicians’ perceived usefulness, perceived ease of use, and attitude towards the use of EHCR systems. In addition, trust fully mediated the influences of perceived risk and information integrity perceptions on physicians’ acceptance of EHCR systems.     

Towards an understanding of the behavioral intention to use 3G mobile value-added services

As profit margins gradually decline, and market competition becomes increasingly intensive, 3G telecom operators must provide various mobile value-added services, as well as traditional voice services, to attract new subscribers and retain old ones. However, for many 3G mobile value-added services, whether ARPU (average revenue per user) can be effectively enhanced depends on the consumer behavioral intentions. Therefore, this study uses the Technology Acceptance Model as the foundation and incorporate personal innovativeness and perceived cost to further understand consumer’s behavioral intention to use 3G mobile value-added services. The following conclusions can be reached from the research findings: (1) consumer usage rate of current 3G value-added services remains low; (2) increased personal innovativeness will directly enhance the perceived ease of use of 3G mobile value-added services; (3) the perceived usefulness is enhanced when consumers perceive higher ease of use of value-added services; (4) perceived usefulness has the strongest effect on consumer attitude, followed by perceived ease of use and perceived cost, and (5) the most important factor in increasing consumer’s behavioral intention to use 3G mobile value-added services is attitude, followed by perceived ease of use, perceived cost and perceived usefulness. Results of this study provide a valuable reference for service providers to develop mobile value-added services.     

Understanding customers' loyalty intentions towards online shopping: an integration of technology acceptance model and fairness theory

As with any other information system (IS), the success of online shopping depends largely on customer satisfaction and other factors that will eventually increase customers' loyalty intentions. This article integrates two major variables of technology acceptance model (TAM), trust, and fairness to construct a model for investigating the motivations behind customers' loyalty intentions towards online shopping. The hypothesised model is validated empirically using data collected from 311 customers of an online shopping store. The results indicated that distributive, procedural and interactional fairness were strong predictors of trust, which in turn influenced satisfaction. Distributive fairness and interactional fairness exhibited significant positive effects on satisfaction. Perceived usefulness and satisfaction influenced loyalty intention towards online shopping. Perceived ease of use acts indirectly on loyalty intention through the mediating effect of perceived usefulness. Implications for theory and practice and future research directions are discussed.     

How do internet surfers become online buyers? An integrative model of e-commerce acceptance

The present study attempts to analyse the factors that determine e-commerce adoption by final consumers. In particular, following Taylor and Todd's approach (Taylor, S. and Todd, PA., 1995 understanding information technology usage: a test of competing models. Information Systems Research, 6(2), 144–176), an overall adoption model of internet shopping is propounded, which includes the most relevant approaches in e-commerce adoption literature: the theory of planned behaviour and the technology acceptance model. The proposed theoretical model is applied on two different samples: one composed of internet users with no previous experience of virtual shopping, and another formed by subjects that have already made online transactions previously. The results obtained reveal that for both groups the attitude towards e-commerce, influence from a relevant third party and perceived usefulness in the system constitute the main direct determinants of the intention of virtual commerce adoption. Perceived behavioural control does not affect, on the contrary, the intention to shop on the internet in the future.     

An empirical examination of users' post-adoption behaviour of mobile services

Extant research has focused on the initial adoption and usage of mobile services and paid little attention to the post-adoption and continuance usage. However, unless users continue using mobile services, service providers cannot achieve success. Drawing upon the expectation confirmation theory, this research develops a mobile post-adoption model. The post-adoption behaviour includes three variables: continuance intention, recommendation and complaint. We conducted data analysis with partial least squares. The results indicated that expectation confirmation, perceived ease of use, perceived usefulness and usage cost significantly affect users' satisfaction, further determining their post-adoption behaviour. In addition, perceived usefulness has a direct effect on the continuance intention.     

Advertising value and credibility transfer: attitude towards web advertising and online information acquisition

China is undergoing a transition from offline to online advertising, but little is known about the causal relationship regarding credibility transfer from non-web advertising to web advertising. Meanwhile, web advertising usage behaviour is largely overlooked. The purpose of this study is to explore the formation of customers' attitude towards web advertising (ATT) which further impacts their online information acquisition behaviour, from the perspectives of advertising value and credibility transfer. This paper develops a research model drawing upon advertising value, credibility transfer, ATT and tie. Data collected from Chinese online shopping customers were used to test the model. The results indicate that perceived informativeness, perceived entertainment and credibility contribute to the formation of ATT, which further impacts web advertising usage for getting information. Meanwhile, tie positively moderates the credibility transfer from non-web advertising to web advertising. These findings and their implications for theory and practice are discussed.     

An empirical study on consumer first purchase intention in online shopping: integrating initial trust and TAM

To understand the first purchase mechanism in online shopping, this study established an integrated model of initial trust and TAM. According to the analysis results, initial trust beliefs were significantly influenced by initial trust bases such as company reputation, structural assurance, and trusting stance, and initial trust beliefs indirectly influenced the first purchase intention through consumer attitude. In TAM constructs, only perceived usefulness directly influenced the usage attitude of online shopping systems, then indirectly influenced the first purchase intention. These results imply that online consumers consider perceived ease of use as a basic requirement for system design. It was also found that there is a time cushion between the time of first purchase and the time of belief formation. On the whole, these results reinforced the theory that a relationship between belief (trust and perceived usefulness) and intention was better explained when it was mediated by attitude.     

享乐型信息系统用户采纳的理论模型及实证检验

为了揭示用户对移动阅读这一享乐型信息系统接受的行为规律,以信息技术接受模型（TAM）为基本架构,通过理论分析和添加新的研究变量,构建了享乐型信息系统用户接受行为的理论模型,通过问卷调查的方法收集数据,采用SPSS、AMOS等技术进行数据处理、假设检验和结构分析,对模型进行了检验和修正。研究表明,电子服务质量对用户的感知有用性和易用性有正向的影响,从而弥补了TAM对外生性因素关注不足的缺憾;用户的沉浸体验对其使用态度和使用意图有正向的影响,从而突破了TAM理性行为的假设前提,将反映用户对享乐型信息系统的情感变量引入模型,扩展了信息技术接受模型。     

Age differences in perceptions of online community participation among non-users: An extension of the Technology Acceptance Model

This study examined age differences in perceptions of online communities held by people who were not yet participating in these relatively new social spaces. Using the Technology Acceptance Model (TAM), we investigated the factors that affect future intention to participate in online communities. Our results supported the proposition that perceived usefulness positively affects behavioral intention, yet it was determined that perceived ease of use was not a significant predictor of perceived usefulness. The study also discovered negative relationships between age and Internet self-efficacy and the perceived quality of online community websites. However, the moderating role of age was not found. The findings suggest that the relationships among perceived ease of use, perceived usefulness, and intention to participate in online communities do not change with age. Theoretical and practical implications and limitations were discussed.     

Understanding the behavior of mobile data services consumers

Due to rapid advances in the Internet and wireless technologies, a ubiquitous computing world is becoming a reality in the form of mobile computing. At the center of this phenomenon is mobile data services which arise from the convergence of advanced mobile communication technologies with data services. Despite the rapid growth in mobile data services, research into consumers’ usage behavior is scarce. This study attempts to identify and empirically assess the factors that drive consumers’ acceptance of mobile data services. A research model based on the decomposed theory of planned behavior and incorporating factors that represent personal needs and motivations in using mobile data services is presented. The model is tested via an online survey of 811 consumers of four categories of mobile data services (i.e., communications, information content, entertainment, and commercial transactions) associated with different usage contexts. We found that attitude, social influence, media influence, perceived mobility, and perceived monetary value influence consumers’ intention to continue usage of mobile data services. In addition, perceived ease of use, perceived usefulness, and perceived enjoyment influence attitude toward continued usage of mobile data services. Finally, separate analysis of the different categories of mobile data services highlights the influence of individual usage context on consumers’ behavior.

Predicting the adoption of mobile financial services: The impacts of perceived mobility and personal habit

Mobile financial services (MFS) have become a critical issue in the financial sectors. An expanding application of mobile commerce, MFS play an important role in managing customer relationships. Thus, we proposed a model that incorporates three external variables—perceived enjoyment, perceived mobility, and personal habit—into the technology acceptance model (TAM) to assess the antecedents that influence continued usage intention in MFS. In addition, we examined the moderating effect of gender on customer relationships. Structural equation modeling was used, and 368 MFS users were investigated. The findings revealed that perceived mobility, personal habit, perceived usefulness, and perceived ease of use are the major antecedents that influence continued usage intention in MFS. However, perceived enjoyment is not significantly associated with intention. Moreover, gender moderates the relationships between the variables in the proposed model. Perceived mobility affecting usage intention will be stronger for men than for women, whereas personal habit affecting usage intention will be stronger for women than for men.     

Acceptance of Internet-based learning medium: the role of extrinsic and intrinsic motivation

This study is one of the few attempts to investigate students’ acceptance of an Internet-based learning medium (ILM). By integrating a motivational perspective into the technology acceptance model, our model captured both extrinsic (perceived usefulness and ease of use) and intrinsic (perceived enjoyment) motivators for explaining students’ intention to use the new learning medium. Data collected from 544 undergraduate students were examined through the LISREL VIII framework. The results showed that both perceived usefulness and perceived enjoyment significantly and directly impacted their intention to use ILM. Surprisingly, perceive ease of use did not posit a significant impact on student attitude or intention towards ILM usage. Implications of this study are important for both researchers and practitioners.     

The Role of Organizational and Individual Characteristics in Technology Acceptance

The roles that users' individual and organizational characteristics play in technology acceptance were examined. Perceived work group characteristics was considered an organizational characteristic; attitude toward change and job stress were considered individual characteristics. User satisfaction with system characteristics was considered a consequence of technology acceptance. Data were collected from a sample of 236 Korean expatriates in information technology (IT) industries who were assigned to work in the United States. Perceived work group characteristics, attitude toward change, and job stress were related to one of the technology acceptance variables, perceived ease of use of the IT system. Ease of use was, in turn, related to perceived usefulness of the IT system, the other technology acceptance variable. Both perceived ease of use and usefulness were related to user satisfaction.     

Examining influencing factors of post-adoption usage of mobile internet: Focus on the user perception of supplier-side attributes

Key supplier-side factors that affect the usage level of mobile Internet were identified and the procedural mechanism among the independent and dependent variables was investigated. For this, a research model was introduced to describe associations among four external variables (access quality, service variety, cost rationality, and ease of use), an intermediate variable (usefulness) and a dependent variable (the usage level of mobile Internet). Through the on-line survey, data were gathered from actual mobile Internet users. Confirmatory factor analysis and path analysis were applied to test the overall integrity of the research model and of proposed hypotheses. All four external variables affected user perceptions on the usefulness of mobile Internet. Among them, service variety and cost rationality had a relatively larger influence on perceived usefulness. Perceived usefulness of the mobile Internet had a positive effect on its usage, confirming the important role of usefulness as a significant mediator between the four external variables and the dependent variable. Meanwhile, the cost rationality was the only external variable with direct influence on the MI usage. Theoretical and practical implications of the study results are discussed.     

The Effects of Social Influence on User Acceptance of Online Social Networks

With the proliferation of online social networks, understanding how and why individuals adopt and use these networks can help managers and marketers to design better methods and approaches toward engaging their users. The purpose of this study is to investigate the determinants of user acceptance of online social networks, with particular attention given to the effects of social influence. A research model was developed by incorporating two variables of social influence, subjective norm and critical mass, into an enhanced version of the Technology Acceptance Model, specifically to address issues related to online social networks. The model was empirically evaluated using survey data collected from 269 subjects about their perceptions of online social networks. The results reveal that both subjective norm and critical mass significantly affect perceived usefulness, which further affects users' usage intention, and perceived ease of use affects the usage intention indirectly through perceived usefulness. The implications of this study on theory and practice are discussed.     

Impact of media richness and flow on e-learning technology acceptance

Advances in e-learning technologies parallels a general increase in sophistication by computer users. The use of just one theory or model, such as the technology acceptance model, is no longer sufficient to study the intended use of e-learning systems. Rather, a combination of theories must be integrated in order to fully capture the complexity of e-learners, who are both system users and learners. The current research presents an integrated theoretical framework to study users’ acceptance of streaming media for e-learning. Three streams of research provide the basis for this integrated framework: the technology acceptance model, flow theory and media richness theory. Students enrolled in an online section of an information systems course used one of three different combinations of text, streamed audio and streamed video. Regression analysis was used to test the hypotheses in this field experiment. Perceived ease of use was a predictor of perceived usefulness; both the perceived usefulness and the attitude of the user were predictors of intention to use. Richer content-presentation types were positively correlated with higher concentration levels but showed mixed results when correlated with perceived usefulness. Results from this study have practical implications for those interested in integrating streaming media into e-learning.     

Determinants of students’ continuance intention to use blogs to learn: an empirical investigation

This study examines factors influencing students’ continuance intention to use blogs to learn in an undergraduate-level course. The research uses constructs from relevant theoretical frameworks, including the technology acceptance model, social cognitive theory, innovation diffusion theory, and expectation–confirmation model. A survey administered to 108 university students in a Canadian university was analysed using the partial least squares technique. The results show that perceived usefulness and perceived compatibility have positive effects on students’ attitudes towards blog use; perceived ease of use did not. Perceived compatibility, perceived self-efficacy, and perceived support for enhancing social ties with blogs have significant effects on the positive impacts of learning with such tools. Attitude and positive impacts of learning with blogs influence satisfaction with blog use. Both attitude and satisfaction are determinants of students’ continuance intention to use blogs to learn. Satisfaction with blog use is the main predictor of continued use intention.     

Empirical examination of the adoption of WebCT using TAM

Web Course Tools (WebCT) have enhanced the ability and motivation of institutes of higher education to support e-learning. In this study, we extended the Technology Acceptance Model to include technical support as a precursor and then investigated the role of the extended model in user acceptance of WebCT. Responses from 836 university students were used to test the proposed structural model. The data showed that technical support has a significant direct effect on perceived ease of use and usefulness, while perceived ease of use and usefulness are the dominant factors affecting the attitude of students using WebCT. The results indicate the importance of perceived ease of use and perceived usefulness in mediating the relationship of technical support with attitude and WebCT usage.     

Determinants of users’ intention to adopt m-commerce: an empirical analysis

The fast-growing penetration of mobile devices and recent advances in mobile technologies have led to the development of increasingly sophisticated services such as m-shopping for goods or services and m-payment. However, although the number of mobile subscribers is increasing, levels of actual m-commerce activities in many cases remain low. Determining what influences users’ intention to use m-commerce is therefore of growing importance. The purpose of this study was to investigate possible factors. To this aim, we developed a conceptual user adoption model based on technology acceptance model variables and on specific factors such as social influence, personal innovativeness, customization, and individual mobility. The empirical results show that social influence and customization significantly affect perceived usefulness; mobility, customization, and personal innovativeness significantly affect perceived ease of use; and perceived usefulness and perceived ease of use have a direct positive effect on behavioral intention.     

Examining mobile banking user adoption from the perspectives of trust and flow experience

Due to the high perceived risk and poor experience associated with using mobile banking, it is critical for service providers to build users’ trust and improve their experience. Integrating both perspectives of trust and flow experience, this research examined the factors affecting mobile banking user adoption. The results indicate that structural assurance is the main factor affecting trust, whereas ubiquity and perceived ease of use are the main factors affecting flow experience. Trust has a significant effect on flow experience, and both factors determine usage intention, which in turn affects actual usage. Thus mobile service providers need to concern both trust and flow experience to facilitate user adoption and usage of mobile banking services.